Individual
IDA KAAIALII
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
84-624 UPENA ST, WAIANAE, HI 96792-1934
(808) 398-4508
Mailing address
84-624 UPENA ST, WAIANAE, HI 96792-1934
(808) 398-4508
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
H00218240
HI
Other
Enumeration date
06/16/2026
Last updated
06/16/2026
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